Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
School of Psychiatry, University of New South Wales, Kensington, Australia.
JMIR Public Health Surveill. 2020 Dec 30;6(4):e24694. doi: 10.2196/24694.
BACKGROUND: The COVID-19 pandemic has overwhelmed health care systems around the world. Emerging evidence has suggested that substantially few patients seek help for suicidality at clinical settings during the COVID-19 pandemic, which has elicited concerns of an imminent mental health crisis as the course of the pandemic continues to unfold. Clarifying the relationship between the public's attention to knowledge about suicide and the public's attention to knowledge about the COVID-19 pandemic may provide insight into developing prevention strategies for a putative surge of suicide in relation to the impact of the COVID-19 pandemic. OBJECTIVE: The goal of this retrospective, longitudinal time-series study is to understand the relationship between temporal trends of interest for the search term "suicide" and those of COVID-19-related terms, such as "social distancing," "school closure," and "lockdown." METHODS: We used the Google Trends platform to collect data on daily interest levels for search terms related to suicide, several other mental health-related issues, and COVID-19 over the period between February 14, 2020 and May 13, 2020. A correlational analysis was performed to determine the association between the search term ''suicide'' and COVID-19-related search terms in 16 countries. The Mann-Kendall test was used to examine significant differences between interest levels for the search term "suicide" before and after school closure. RESULTS: We found that interest levels for the search term "suicide" statistically significantly inversely correlated with interest levels for the search terms "COVID-19" or "coronavirus" in nearly all countries between February 14, 2020 and May 13, 2020. Additionally, search interest for the term ''suicide'' significantly and negatively correlated with that of many COVID-19-related search terms, and search interest varied between countries. The Mann-Kendall test was used to examine significant differences between search interest levels for the term "suicide" before and after school closure. The Netherlands (P=.19), New Zealand (P=.003), the United Kingdom (P=.006), and the United States (P=.049) showed significant negative trends in interest levels for suicide in the 2-week period preceding school closures. In contrast, interest levels for suicide had a significant positive trend in Canada (P<.001) and the United States (P=.002) after school closures. CONCLUSIONS: The public's attention to suicide might inversely correlate with the public's attention to COVID-19-related issues. Additionally, several anticontagion policies, such as school closure, might have led to a turning point for mental health crises, because the attention to suicidality increased after restrictions were implemented. Our results suggest that an increased risk of suicidal ideation may ensue due to the ongoing anticontagion policies. Timely intervention strategies for suicides should therefore be an integral part of efforts to flatten the epidemic curve.
背景:COVID-19 大流行使世界各地的医疗体系不堪重负。新出现的证据表明,在 COVID-19 大流行期间,实际上很少有患者在临床环境中寻求自杀方面的帮助,这引发了人们对随着大流行的继续,即将出现心理健康危机的担忧。阐明公众对自杀知识的关注与公众对 COVID-19 大流行知识的关注之间的关系,可能有助于为 COVID-19 大流行对自杀的影响所带来的潜在自杀浪潮制定预防策略。 目的:本回顾性、纵向时间序列研究的目的是了解搜索词“自杀”的兴趣趋势与 COVID-19 相关术语(例如“社交距离”、“学校关闭”和“封锁”)之间的关系。 方法:我们使用 Google Trends 平台收集了 2020 年 2 月 14 日至 2020 年 5 月 13 日期间与自杀、其他几个心理健康问题和 COVID-19 相关的搜索词的每日兴趣水平数据。进行了相关分析,以确定 16 个国家/地区中搜索词“自杀”与 COVID-19 相关搜索词之间的关联。使用曼肯德尔检验(Mann-Kendall test)来检验学校关闭前后搜索词“自杀”的兴趣水平是否存在显著差异。 结果:我们发现,在 2020 年 2 月 14 日至 2020 年 5 月 13 日期间,几乎所有国家/地区的搜索词“自杀”的兴趣水平与搜索词“COVID-19”或“冠状病毒”的兴趣水平呈统计学上的显著负相关。此外,搜索词“自杀”的兴趣与许多 COVID-19 相关的搜索词显著负相关,且搜索兴趣因国家/地区而异。曼肯德尔检验(Mann-Kendall test)用于检验学校关闭前后搜索词“自杀”的兴趣水平是否存在显著差异。荷兰(P=.19)、新西兰(P=.003)、英国(P=.006)和美国(P=.049)在学校关闭前两周,自杀的兴趣水平呈显著负趋势。相比之下,加拿大(P<.001)和美国(P=.002)的自杀兴趣在学校关闭后呈显著正趋势。 结论:公众对自杀的关注可能与公众对 COVID-19 相关问题的关注呈负相关。此外,一些抗传染病政策(例如学校关闭)可能已经成为心理健康危机的转折点,因为在实施限制措施后,对自杀的关注度增加了。我们的研究结果表明,由于持续的抗传染病政策,自杀意念的风险可能会增加。因此,应将针对自杀的及时干预策略作为努力平缓疫情曲线的重要组成部分。
JMIR Public Health Surveill. 2020-12-30
JMIR Public Health Surveill. 2021-12-21
JMIR Public Health Surveill. 2021-2-25
JMIR Public Health Surveill. 2020-5-21
JMIR Public Health Surveill. 2020-7-17
Int J Environ Res Public Health. 2022-11-2
J Prev (2022). 2022-12
Int J Environ Res Public Health. 2021-11-24
JMIR Public Health Surveill. 2021-12-3
Eur J Nucl Med Mol Imaging. 2021-7
J Public Econ. 2021-1
Acta Biomed. 2020-7-28
Int J Environ Res Public Health. 2020-8-17
BMC Public Health. 2020-8-12
Crisis. 2020-9